Impact of Anemia on Exercise and Pharmacologic Stress Echocardiography

2020 ◽  
Vol 33 (9) ◽  
pp. 1067-1076
Author(s):  
Jared G. Bird ◽  
Kareem Morant ◽  
Deema Al-Souri ◽  
Christopher G. Scott ◽  
Ratnasari Padang ◽  
...  
Keyword(s):  
Stress Echocardiography ◽  
Pharmacologic Stress

Usefulness of pharmacologic stress echocardiography for the long-term prognostic assessment of patients with typical versus atypical chest pain

2003 ◽  
Vol 91 (4) ◽  
pp. 440-442 ◽  
Author(s):  
Elisabetta Amici ◽  
Lauro Cortigiani ◽  
Claudio Coletta ◽  
Susanna Franzin ◽  
Riccardo Bigi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Stress Echocardiography ◽  
Pharmacologic Stress ◽  
Atypical Chest Pain ◽  
Prognostic Assessment

scholarly journals P1788 Prognostic value of stress echocardiography in preoperative risk stratification and management

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Almeida ◽  
R Pereira ◽  
I Cruz ◽  
M Quadrado ◽  
A R Almeida ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Risk Stratification ◽  
Prognostic Value ◽  
Stress Echocardiography ◽  
Perioperative Complications ◽  
Pharmacologic Stress ◽  
Cardiac Complications ◽  
Pharmacological Stress ◽  
Preoperative Risk ◽  
Preoperative Risk Stratification

Abstract Introduction The prognostic value of pharmacologic stress echocardiography has been extensively demonstrated in patients undergoing noncardiac surgery since 42% of the perioperative complications are cardiac. Coronary artery stenoses can became flow-limiting due to hemodynamic fluctuations in this period leading to myocardial ischemia. Purpose Evaluation of prognostic value of pharmacologic stress echocardiography in preoperative risk stratification. Methods Single center retrospective analysis of patients’ data referred to perform a preoperative risk stratification through pharmacological stress echocardiography between January 2014- December 2018. Data was collected regarding clinical and echocardiographic parameters to predict perioperative cardiac complications (myocardial infarction and development of arrythmias) and evaluate the impact of the result of DSE in patients´ clinical management. Results Of 910 pharmacological stress echocardiograms, 106 were performed to evaluate preoperative risk. Patients´ mean age was 66 ± 11 years, 85% males. 64% had hypertension, 45% dyslipidaemia, 38% current smokers and 18% diabetes. 189% had previously myocardial infarction and 9% stroke. All patients were proposed to intermediate-high risk surgeries: 73% to vascular surgery, 14% to kidney transplant and 13% to other type of surgery (especially abdominal surgery). Most of the stress tests (64%) were performed with dobutamine and the others 34% with dipyridamole. 91% of stress echocardiography were negative, 6% positive and 4% inconclusive. The patients with a positive stress test was submitted to coronary angiography to treat relevant lesions and cardiovascular risk factors were optimized. 72% of the patients has already been submitted to the proposed surgery; in this population, there was a 5% rate of cardiac complications following the surgery, all in patients with previous negative stress echocardiography. Complications were non-ST elevation myocardial infarction in 1% and de novo atrial fibrillation in 4%. Half of the patients with a positive stress echocardiography were operated with no cardiac perioperative complications, possibly related to patient´s optimization before the surgery; in the other half it was decided not to perform the surgery due to the potential cardiac risk. Predictor factors for perioperative cardiac complications, evaluated through univariate and multivariate analysis, were age (odds ratios (OR) 1.232, confidence interval (CI) 1.043-1.456, p 0.007) and stroke (OR 0.057, CI 0.947-44.592, p 0.033). Conclusion In our study, patients with a positive stress echocardiography were optimized before the surgery leading to none cardiac perioperative complications, emphasizing the importance of this test in preoperative patients´ management.

Pharmacologic stress echocardiography predicts total mortality early after acute myocardial infarction

2004 ◽  
Vol 17 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Rosa Sicari ◽  
Eugenio Picano ◽  
Patrizia Landi ◽  
Emilio Pasanisi ◽  
Lucia Venneri
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Stress Echocardiography ◽  
Total Mortality ◽  
Pharmacologic Stress

Comparison of Prognostic Value of Pharmacologic Stress Echocardiography in Chest Pain Patients With Versus Without Diabetes Mellitus and Positive Exercise Electrocardiography

2007 ◽  
Vol 100 (12) ◽  
pp. 1744-1749 ◽  
Author(s):  
Lauro Cortigiani ◽  
Riccardo Bigi ◽  
Rosa Sicari ◽  
Fausto Rigo ◽  
Francesco Bovenzi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Chest Pain ◽  
Prognostic Value ◽  
Stress Echocardiography ◽  
Pharmacologic Stress ◽  
Exercise Electrocardiography ◽  
Pain Patients

Pharmacologic Stress Echocardiography

1992 ◽  
Vol 117 (2) ◽  
pp. 168 ◽  
Author(s):  
Richard B. Devereux
Keyword(s):  
Stress Echocardiography ◽  
Pharmacologic Stress

Long-term prognostic importance of transient left ventricular dilation during pharmacologic stress echocardiography

2005 ◽  
Vol 18 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Leopoldo Pérez de Isla ◽  
José Zamorano ◽  
Carlos Almería ◽  
José Luis Rodrigo ◽  
David Villagómez ◽  
...  
Keyword(s):  
Stress Echocardiography ◽  
Left Ventricular ◽  
Pharmacologic Stress ◽  
Ventricular Dilation ◽  
Left Ventricular Dilation ◽  
Prognostic Importance

scholarly journals Prognostic Implication of Appropriateness Criteria for Pharmacologic Stress Echocardiography Performed in an Outpatient Clinic

2012 ◽  
Vol 5 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Lauro Cortigiani ◽  
Riccardo Bigi ◽  
Francesco Bovenzi ◽  
Sabrina Molinaro ◽  
Eugenio Picano ◽  
...  
Keyword(s):  
Outpatient Clinic ◽  
Stress Echocardiography ◽  
Pharmacologic Stress ◽  
Appropriateness Criteria ◽  
Prognostic Implication
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